How much rates vary
Facilitymedian $1,660 · 10th to 90th $417 to $2,630Professionalmedian $1,072 · 10th to 90th $617 to $6,607
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier 26 · Professional part Typical Low $562.34 Median $562.34 Typical High $562.34 | Facility | 26 · Professional part | $562.34 | $562.34 | $562.34 |
Aetna Setting Professional Modifier None (both parts) Typical Low $891.25 Median $891.25 Typical High $1,096.48 | Professional | None (both parts) | $891.25 | $891.25 | $1,096.48 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $181.97 Median $181.97 Typical High $218.78 | Professional | 26 · Professional part | $181.97 | $181.97 | $218.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $707.95 Median $707.95 Typical High $891.25 | Professional | TC · Technical part | $707.95 | $707.95 | $891.25 |
BCBS Arizona Setting Facility Modifier None Typical Low $407.38 Median $1,737.80 Typical High $2,630.27 | Facility | None | $407.38 | $1,737.80 | $2,630.27 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $173.78 Median $199.53 Typical High $338.84 | Professional | 26 · Professional part | $173.78 | $199.53 | $338.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $933.25 Median $1,096.48 Typical High $2,041.74 | Professional | None (both parts) | $933.25 | $1,096.48 | $2,041.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $186.21 Median $223.87 Typical High $416.87 | Professional | 26 · Professional part | $186.21 | $223.87 | $416.87 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $758.58 Median $870.96 Typical High $1,659.59 | Professional | TC · Technical part | $758.58 | $870.96 | $1,659.59 |
Medica Setting Facility Modifier None Typical Low $891.25 Median $977.24 Typical High $1,949.84 | Facility | None | $891.25 | $977.24 | $1,949.84 |
Medica Setting Professional Modifier None (both parts) Typical Low $549.54 Median $2,511.89 Typical High $6,606.93 | Professional | None (both parts) | $549.54 | $2,511.89 | $6,606.93 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $190.55 Median $346.74 Typical High $1,737.80 | Professional | 26 · Professional part | $190.55 | $346.74 | $1,737.80 |
Medica Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $2,137.96 Typical High $5,248.07 | Professional | TC · Technical part | $338.84 | $2,137.96 | $5,248.07 |
United Setting Professional Modifier None (both parts) Typical Low $512.86 Median $1,380.38 Typical High $2,454.71 | Professional | None (both parts) | $512.86 | $1,380.38 | $2,454.71 |
United Setting Professional Modifier 26 · Professional part Typical Low $186.21 Median $208.93 Typical High $363.08 | Professional | 26 · Professional part | $186.21 | $208.93 | $363.08 |
United Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $1,148.15 Typical High $2,137.96 | Professional | TC · Technical part | $323.59 | $1,148.15 | $2,137.96 |
4 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $446.68 Median $446.68 Typical High $549.54 | Professional | 52 · Reduced service | $446.68 | $446.68 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $177.83 Median $177.83 Typical High $218.78 | Professional | 53 · Discontinued | $177.83 | $177.83 | $218.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $134.90 Median $134.90 Typical High $165.96 | Professional | 55 · Aftercare only | $134.90 | $134.90 | $165.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $89.13 Median $89.13 Typical High $109.65 | Professional | 56 · Pre-op care only | $89.13 | $89.13 | $109.65 |
Where Arizona sits
The same service costs 11.2 times more in Alaska than in Kentucky. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Arizona· 30th of 51
$1,096
AK $3,020KY $269
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.